Arsene T Signing, Wiliane J T Marbou, Veronique P Beng, Victor Kuete
{"title":"Haematological Features and Urologic Pathologies of Diabetic Subjects at Bafoussam Regional Hospital: A Cross-Sectional Study.","authors":"Arsene T Signing, Wiliane J T Marbou, Veronique P Beng, Victor Kuete","doi":"10.1155/2020/6161785","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus is at the origin of long-term complications.</p><p><strong>Objective: </strong>This study is aimed at assessing the haematological features and urologic pathologies of diabetic individuals at Bafoussam Regional Hospital.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted from August 2018 to May 2019 in Bafoussam Regional Hospital, West Cameroon. A structured questionnaire was used to gather sociodemographic data. A trained nurse measured the physical and clinical features. Fasting plasma glucose was determined using the glucose meter Accu-Chek Active system. The full blood count (FBC) was carried out using Automatic full Blood Counter, and the CD4, CD3, and CD8 T-cell counts were determined using the flow cytometry method.</p><p><strong>Results: </strong>There were 455 diabetic patients, and 50 nondiabetic patients were included. The mean age of diabetic patients (56.94 ± 14.33 years) was higher compared to that of nondiabetic individuals (34.76 ± 14.35 years) (<i>p</i> < 0.001). There was a significant relationship between married individuals (<i>χ</i> <sup>2</sup> = 79.19, <i>p</i> < 0.001, and <i>df</i> = 4), housewife and retired (<i>χ</i> <sup>2</sup> = 1117.38, <i>p</i> < 0.001, and <i>df</i> = 37), old age (40 years and above) (<i>χ</i> <sup>2</sup> = 79.11, <i>p</i> < 0.001, and <i>df</i> = 3), and diabetes status. Diabetic patients had an odds of 5.52 to experience a urinary urge as compared to the controls (<i>p</i> < 0.001, 95% CI = 2.15-14.22). The majority of haematological parameters were negatively but not significantly correlated with diabetes. Binary logistic regression shows that MCV (<i>r</i> = -0.251, OR = 0.778, and 95% CI = 0.617-0.983; <i>p</i> = 0.035) and RDW-CV (<i>r</i> = -0.477, OR = 0.620, and 95% CI = 0.454-0.848; <i>p</i> = 0.003) negatively influence the probability of having diabetes. RDW-SD (<i>r</i> = 0.135, OR = 1.144, and 95% CI = 1.014-1.291; <i>p</i> = 0.029) positively influences the probability of having diabetes.</p><p><strong>Conclusion: </strong>This study revealed a significant haematological and urological profile difference according to diabetes status. Research and interventions targeted at diabetic population could help close gaps in diabetes complications.</p>","PeriodicalId":13831,"journal":{"name":"International Journal of Chronic Diseases","volume":"2020 ","pages":"6161785"},"PeriodicalIF":0.0000,"publicationDate":"2020-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6161785","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Chronic Diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2020/6161785","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Diabetes mellitus is at the origin of long-term complications.
Objective: This study is aimed at assessing the haematological features and urologic pathologies of diabetic individuals at Bafoussam Regional Hospital.
Methods: This was a cross-sectional study conducted from August 2018 to May 2019 in Bafoussam Regional Hospital, West Cameroon. A structured questionnaire was used to gather sociodemographic data. A trained nurse measured the physical and clinical features. Fasting plasma glucose was determined using the glucose meter Accu-Chek Active system. The full blood count (FBC) was carried out using Automatic full Blood Counter, and the CD4, CD3, and CD8 T-cell counts were determined using the flow cytometry method.
Results: There were 455 diabetic patients, and 50 nondiabetic patients were included. The mean age of diabetic patients (56.94 ± 14.33 years) was higher compared to that of nondiabetic individuals (34.76 ± 14.35 years) (p < 0.001). There was a significant relationship between married individuals (χ2 = 79.19, p < 0.001, and df = 4), housewife and retired (χ2 = 1117.38, p < 0.001, and df = 37), old age (40 years and above) (χ2 = 79.11, p < 0.001, and df = 3), and diabetes status. Diabetic patients had an odds of 5.52 to experience a urinary urge as compared to the controls (p < 0.001, 95% CI = 2.15-14.22). The majority of haematological parameters were negatively but not significantly correlated with diabetes. Binary logistic regression shows that MCV (r = -0.251, OR = 0.778, and 95% CI = 0.617-0.983; p = 0.035) and RDW-CV (r = -0.477, OR = 0.620, and 95% CI = 0.454-0.848; p = 0.003) negatively influence the probability of having diabetes. RDW-SD (r = 0.135, OR = 1.144, and 95% CI = 1.014-1.291; p = 0.029) positively influences the probability of having diabetes.
Conclusion: This study revealed a significant haematological and urological profile difference according to diabetes status. Research and interventions targeted at diabetic population could help close gaps in diabetes complications.